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Partial penile amputation due to Klingsor syndrome: A case report with a successful macroscopic reconstruction
INTRODUCTION: Traumatic penile amputation is a highly uncommon surgical emergency that requires immediate intervention. Most reported cases involve genital self-mutilation induced by underlying psychiatric disorder, especially schizophrenia. The self-mutilation of external genitals in psychiatric pa...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7683284/ https://www.ncbi.nlm.nih.gov/pubmed/33217659 http://dx.doi.org/10.1016/j.ijscr.2020.10.141 |
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author | Syahrir, Syakri Palinrungi, Muhammad Asykar Kholis, Khoirul Syarif Faruk, Muhammad Christeven, Robert |
author_facet | Syahrir, Syakri Palinrungi, Muhammad Asykar Kholis, Khoirul Syarif Faruk, Muhammad Christeven, Robert |
author_sort | Syahrir, Syakri |
collection | PubMed |
description | INTRODUCTION: Traumatic penile amputation is a highly uncommon surgical emergency that requires immediate intervention. Most reported cases involve genital self-mutilation induced by underlying psychiatric disorder, especially schizophrenia. The self-mutilation of external genitals in psychiatric patients, also known as Klingsor syndrome, is a rare form of urotrauma. PRESENTATION OF CASE: We present a case of partial penile amputation in a 46-year-old male with Klingsor syndrome admitted to the hospital 3 days after the incident. Urological examination revealed a subtotal cut of the penis, including the distal part of the mons pubis, dorsal and lateral parts of the penile skin, corpus cavernosum, and corpus spongiosum, as well as a partial bulbous urethra rupture. The penis remained suspended by only a thin ventral part of the penile skin. After macroscopic surgical replantation, the patient recovered well and could urinate without any symptoms of urethral stricture. The entire penis remained viable with minimal scarring at the surgical site, and penile erection could be achieved and maintained. CONCLUSION: The case demonstrates a rare instance of the successful proximal penile shaft amputation via macrosurgical techniques by an experienced urologic surgeon. |
format | Online Article Text |
id | pubmed-7683284 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-76832842020-12-07 Partial penile amputation due to Klingsor syndrome: A case report with a successful macroscopic reconstruction Syahrir, Syakri Palinrungi, Muhammad Asykar Kholis, Khoirul Syarif Faruk, Muhammad Christeven, Robert Int J Surg Case Rep Case Report INTRODUCTION: Traumatic penile amputation is a highly uncommon surgical emergency that requires immediate intervention. Most reported cases involve genital self-mutilation induced by underlying psychiatric disorder, especially schizophrenia. The self-mutilation of external genitals in psychiatric patients, also known as Klingsor syndrome, is a rare form of urotrauma. PRESENTATION OF CASE: We present a case of partial penile amputation in a 46-year-old male with Klingsor syndrome admitted to the hospital 3 days after the incident. Urological examination revealed a subtotal cut of the penis, including the distal part of the mons pubis, dorsal and lateral parts of the penile skin, corpus cavernosum, and corpus spongiosum, as well as a partial bulbous urethra rupture. The penis remained suspended by only a thin ventral part of the penile skin. After macroscopic surgical replantation, the patient recovered well and could urinate without any symptoms of urethral stricture. The entire penis remained viable with minimal scarring at the surgical site, and penile erection could be achieved and maintained. CONCLUSION: The case demonstrates a rare instance of the successful proximal penile shaft amputation via macrosurgical techniques by an experienced urologic surgeon. Elsevier 2020-11-07 /pmc/articles/PMC7683284/ /pubmed/33217659 http://dx.doi.org/10.1016/j.ijscr.2020.10.141 Text en © 2020 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Syahrir, Syakri Palinrungi, Muhammad Asykar Kholis, Khoirul Syarif Faruk, Muhammad Christeven, Robert Partial penile amputation due to Klingsor syndrome: A case report with a successful macroscopic reconstruction |
title | Partial penile amputation due to Klingsor syndrome: A case report with a successful macroscopic reconstruction |
title_full | Partial penile amputation due to Klingsor syndrome: A case report with a successful macroscopic reconstruction |
title_fullStr | Partial penile amputation due to Klingsor syndrome: A case report with a successful macroscopic reconstruction |
title_full_unstemmed | Partial penile amputation due to Klingsor syndrome: A case report with a successful macroscopic reconstruction |
title_short | Partial penile amputation due to Klingsor syndrome: A case report with a successful macroscopic reconstruction |
title_sort | partial penile amputation due to klingsor syndrome: a case report with a successful macroscopic reconstruction |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7683284/ https://www.ncbi.nlm.nih.gov/pubmed/33217659 http://dx.doi.org/10.1016/j.ijscr.2020.10.141 |
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